洛阳市383例冠心病患者多种危险因素达标率分析

Analysis of treatment outcomes for patients diagnosed with coronary heart disease in Luoyang city

目的了解已诊断为冠心病患者各种危险因素治疗达标率情况。方法以383例已被诊断为冠心病的患者为调查对象，依据中国成人血脂防治指南对各种危险因素的控制建议分析该群患者的治疗控制情况。结果总胆固醇〈4．14mmol／L的比率为9．92％（38／383），甘油三酯〈1．70mmol／L的比率为20．6％（79／383），低密度脂蛋白胆固醇（LDL—C）〈2．59mmol／L的比率为10．7％（41／383），高密度脂蛋白胆固醇（HDL—C）〉1．04mmol／L的比率为70．8％（271／383）；收缩压〈140mmHg（1mmHg=0．133kPa）的比率为44．9％（172／383），舒张压〈90mmHg的比率为39．7％（152／383），血压（BP）〈140／90mmHg的比率为26．4％（101／383）；空腹血糖〈6．1mmol／L的比率为73．4％（281／383），餐后2h血糖〈7．8mmol／L的比率为76．9％（302／383）；男性腰围〈90cm的比率为19．9％（40／201），女性腰围〈85cm的比率为17．6％（32／182）；不吸烟的比率为94．3％（361／383）。将LDL—C〈2．59mmol／L，BP〈140／90mmHg，空腹血糖〈6．1mmol／L，男性腰围〈90cm，女性腰围〈85cm，不吸烟定义为全面达标，全面达标率为4．96％（19／383）。结论洛阳市某区冠心病患者的全面达标率较低，应加强综合防治。

Objective To understand treatment outcomes of patients diagnosed with coronary heart disease（CHD）. Methods Total 383 patients diagnosed as coronary heart disease were investigated by our hospital from september 2007 to semptember 2008. The related risk factors were analyzed based on Chinese guideline about prevention and cure of dyslipidemia in adults 2007. Results （1） Serum total cholesterol of less than 4.14 mmol/L was achieved in 9.92% （38/383） of all the participants investigated, triglyceride of less than 1.7 mmol/L in 20.6% （ 79/383 ）, low - density lipoprotein - cholesterol （LDL - C） of less than 2.59 mmol/L in 10.7% （41/383） and high - density lipoprotein - cholesterol （ HDL - C） of greater than 1.04 mmol/L in 70.8% （271/383） of them, respectively. （2） Systolic blood pressure under 140 mm Hg and diastolic blood pressure under 90 mm Hg were achieved in 44.9% （172/383） and 39.7% （152/383） of them,respectively ,and booth systolic and diastolic blood pressure under control in 26.4% （ 101/383 ）. （3） Fasting plasma glucose under 6. 1 mmol/L was achieved in 73.4% （281/383） of them. （4） Waist circumference of 201 males under 90 cm and waist circumference of 182 females under 85cm were achived in 19.9% （40/201） and 17.6% （32/182）. （5） Nosmoker were achived in 94.3% （361/383）. （6）Only 4.96% （ 19/383 ） of all the participants investigated got optimal control of their blood glucose, blood pressure, serum LDL - C, no smking and waist circumference （ defined as LDL - C less than 2.59 retool/L, blood pressure less than 140/90 mm Hg, fasting plasma glucose less than 6. 1 mmol/L, no smoking, wasit circumference of male less than 90 cm, wasit circumference of femaleless than 85 cm）. Conclusions Only 4.96% of all the patients diagnosed with CHD get optimal control of their serum lipid, blood pressure, waist circumference, nosmoking and blood glucose, so comprehensive prevention and control for CHD shah be strengthened.